Youth Group Membership Signup

Ultimate KEFTY Membership (Gr 9-12) (TKE Member Rate) $225

Includes everything that KEFTY has to offer as well as a KEFTY SWAG item.

Basic KEFTY Membership (Gr 9-12): $36

This is your basic KEFTY Membership. Includes a SWAG item, but is pay as you go for all KEFTY programs.

Ultimate Kol Noar Membership (Gr 6-8): $100

Includes everything that Kol Noar has to offer as well as a SWAG item.

Basic Kol Noar Membership (Gr 6-8): $36

This is your basic Kol Noar Membership. Includes a SWAG item, but is pay as you go for all Kol Noar programs.

Kol Yeladim Membership (Gr 4-5): $45

Includes everything that Kol Yeladim has to offer as well as a TKE Youth SWAG item.

Kol Bonim Membership (Gr K-3) Free!

Includes a TKE Youth SWAG item.

* Youth Name

* Youth Gender

* Youth Grade

* Youth School

* Youth DOB

Youth Cell

* Please advise how you would like to be contacted and provide appropriate information: cell/text or email

* Emergency Contact 1: Name, relationship, mobile

* Emergency Contact 2: Name, relationship, mobile

* Insurance Company Name

* Insurance Company Policy Number/Group Number

* Insurance Company Phone Number

* Medical Treatment Release: In the event my child requires medical treatment during any youth group event, hereby authorize the TKE or Youth Staff to authorize emergency treatment if necessary. SIGN

* Publicity Release: I hereby give permission for photographs, videotapes, and audiotapes of my child to be made during youth group activities and to be used for youth group publicity. SIGN

* Riding with teen drivers (KEFTY only): My child is permitted to ride with teen drivers that are permitted to transport one another. SIGN

* Event Transportation Permission: I give my permission for my son/daughter to be driven to and from youth group events by authorized vehicle (bus or automobile) transportation. I agree to indemnify and hold harmless Temple Kol Emeth, their employees, volunteers, and members from any harm, which may come to my son/daughter while driving to or from youth group events. SIGN

* List all non-food related allergies and their expected severity. Be aware that if they have anything severe enough to require an epi pen they are required to bring one with them.

* List all food allergies (and severity) or dietary restrictions that need to be accounted for during event planning. Be aware that if they have anything severe enough to require an epi pen they are required to bring one with them.

Is there anything not listed that you want to tell or share with the Youth Staff?

* Temple Kol Emeth Youth B’rit K’hilah – Code of Conduct:

Temple Kol Emeth Youth B’rit K’hilah – Code of Conduct:

I will promote the creation of a religious youth community based on mutual respect and a sense of personal well-being. I will treat others with kavod (honor and respect) because we are created b’tzelem Elohim (in the image of God). I have read the following rules, designed to promote the health and safety of all participants, and have indicated my complete acceptance by my signature and that of my parent/guardian.

• I will not possess, consume, or distribute alcoholic beverages, other than that served by adult leadership for Jewish sacramental purposes.

• I will not possess, use, or distribute any illegal drug or drug paraphernalia.

• I will not possess, smoke or consume or distribute tobacco products at any time during the event.

• I will attend and participate fully in the entire event, unless otherwise agreed upon with the Youth Director.

• I will arrive on time, stay until the end, and remain on the event premises at all times.

• I will not bring or use any weapons, firearms, or anything that may be construed as a weapon.

• I will not commit any illegal act. I understand that vandalism, disturbing the peace, or other inappropriate behavior as determined by the adult leadership in accordance with the youth leadership will not be tolerated. I understand that I will have to pay for any damage that I cause. I understand that no gambling is allowed, except for fundraisers approved by the adult leadership.

• I understand that no guests are allowed at any event, unless the adult leadership grants permission in advance, and that any unauthorized guests will be asked to leave immediately.

• If I am a licensed driver I will not drive during events, unless advance permission for a special situation is given in writing by my parent/guardian and granted by the Youth Director.

• I will not participate in any activities that could be deemed as hazing, sexually harassing, demeaning, or hurtful.

• I agree to refrain from inappropriate sexual behavior.

• I agree to abide by any additional rules, pertinent to a specific event, which may be announced, and to accept the consequences of their violation

If a teen does not comply with the Code of Conduct, the following disciplinary actions may be taken: Parent may be asked to escort their teen from an event immediately regardless of time of day or location of event. Teen may be suspended from the next event/s. Teen or parent may be asked to make restitution. Other actions may be taken on recommendations from Temple Kol Emeth leadership. Membership dues and event fees are non-refundable. In the case of damage to property, the family will be liable for the cost of repairs.

By SIGNING below I acknowledge that I have read and I understand the Temple Kol Emeth Youth B’rit K’hilah- Code of Conduct, and agree to abide by its rules.

* Student Signature

* Parent Signature

Send Email Confirmation to:

Thu, April 18 2024 10 Nisan 5784

Youth Group Membership Signup

Temple Kol Emeth

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